Fujii Taro, Mutsuga Masato, Narita Yuji, Tokuda Yoshiyuki, Terazawa Sachie, Ito Hideki, Uchida Wataru, Yuhara Satoshi, Usui Akihiko
Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
SAGE Open Med Case Rep. 2022 Aug 5;10:2050313X221116681. doi: 10.1177/2050313X221116681. eCollection 2022.
A 73-year-old man presented with multiple giant coronary artery aneurysms. Twelve years prior to the presentation, he had undergone coronary artery bypass grafting. At that time, he exhibited small aneurysms (16 mm diameter) in the right coronary artery and a single aneurysm (10 mm diameter) in the left circumflex artery. During follow-up, the aneurysms gradually increased in size (to 45 and 30 mm, respectively, at 12 years after surgery). We resected all of the aneurysms and performed coronary artery bypass grafting of the left circumflex artery through re-sternotomy.
一名73岁男性患者出现多个巨大冠状动脉瘤。在就诊前12年，他接受了冠状动脉旁路移植术。当时，他右冠状动脉有小动脉瘤（直径16毫米），左旋支动脉有单个动脉瘤（直径10毫米）。在随访期间，动脉瘤逐渐增大（术后12年时分别增至45毫米和30毫米）。我们切除了所有动脉瘤，并通过再次开胸对左旋支动脉进行了冠状动脉旁路移植术。
